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Provider Information for 1831172394

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Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. TERRY WAYNE RUDNYK DDS

Gender: MALE

Individual NPI: 1831172394

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1831172394
Enumeration Date 2005-11-29
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 9751 N 90TH PL
SCOTTSDALE, AZ 85258-5082
United States

Phone: 480-860-1266 | Fax: 480-860-1381
View Map External Link
Primary Practice Address 9751 N 90TH PL
SCOTTSDALE, AZ 85258-5082
United States

Phone: 480-860-1266 | Fax: 480-860-1381
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist AZ 2718